Pharmacist - PRN

Nexus Health Systems; Dallas (TX); On-site; USD 120,000 - 150,000; Full time

Job summary

Nexus Children's Hospital - Dallas is seeking a Pharmacist for the Pediatric Inpatient unit. The role oversees hospital-wide pharmacy operations, ensures safe medication use, and supports clinical teams in a high‑acuity pediatric setting.

You will review orders, dispense medications, monitor therapy, and participate in reconciliations, regulatory compliance, and quality initiatives. The ideal candidate holds a PharmD (or B.Pharm) and Texas licensure.

Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy from an accredited College of Pharmacy.
• Advanced degree or completion of an accredited hospital pharmacy residency preferred.
• Experience in a hospital or pediatric setting preferred.
• Strong knowledge of DNV, CMS, and state regulatory requirements.

Responsibilities

• Review, interpret, and process physician medication orders accurately and efficiently.
• Prepare, dispense, and monitor medication therapies in accordance with applicable laws and best practices.
• Monitor drug therapy, including lab values and levels; recommend or implement appropriate adjustments.
• Conduct medication reconciliation and ensure accurate documentation in the MAR.
• Ensure all medication charges and reports are completed accurately and daily.
• Maintain pharmacy operations, including Pyxis system management and drug database accuracy.
• Collaborate with physicians and nursing staff to optimize medication therapy and formulary use.
• Communicate drug-related information clearly to patients, families, and interdisciplinary team members.
• Partner with providers to identify cost-effective medication alternatives when appropriate.
• Actively participate in team conferences and interdisciplinary care planning.
• Provide medication education to patients and families and document all interactions.
• Deliver in‑services and ongoing education to nursing and clinical staff.
• Support orientation, training, and competency validation of pharmacy and nursing personnel.
• Ensure compliance with DNV, CMS, state and federal pharmacy regulations.
• Maintain a clean, organized, and inspection‑ready pharmacy environment.
• Participate in Performance Improvement (PI) initiatives to enhance service quality and efficiency.
• Attend and contribute to monthly department and staff meetings.
• Follow established protocols, including: Automatic therapeutic substitutions; IV to PO/PT conversions.
• Manage Pyxis system functions, including: Adding medications; Ensuring accurate medication descriptions; Adding and maintaining nursing user access.
• Reconcile reports including discrepancies and overrides.
• Provide on‑call pharmacy coverage as needed.
• Communicate effectively with vendors and external partners.
• Address and resolve concerns from patients, families, and staff professionally.
• Support departmental goals and perform additional duties as assigned.

Skills

Hospital pharmacy

Pediatric care

Regulatory compliance

Education

PharmD or BPharm

Residency preferred

Job description

Pharmacist - Pediatric Inpatient

Nexus Children's Hospital - Dallas

ABOUT NEXUS CHILDREN'S HOSPITAL - DALLAS

Nexus Children's Hospital - Dallas provides specialized inpatient care for children with complex medical and behavioral health needs. Our interdisciplinary team is dedicated to bridging the gap from hospital to home, delivering compassionate, high-quality care that helps every child reach their fullest potential. At Nexus, we are committed to clinical excellence, innovation, and making a meaningful difference in the lives of the patients and families we serve.

POSITION SUMMARY

Under the supervision of the Director of Pharmacy, the Pharmacist is responsible for overseeing all pharmacy operations within the hospital, ensuring compliance with DNV, CMS, state, and federal regulations. This role plays a critical part in medication management, clinical collaboration, and patient safety while supporting high-quality pediatric care in an inpatient setting.

JOB SPECIFIC RESPONSIBILITIES

Clinical & Operational Excellence

• Review, interpret, and process physician medication orders accurately and efficiently
• Prepare, dispense, and monitor medication therapies in accordance with applicable laws and best practices
• Monitor drug therapy, including lab values and levels; recommend or implement appropriate adjustments
• Conduct medication reconciliation and ensure accurate documentation in the Medication Administration Record (MAR)
• Ensure all medication charges and reports are completed accurately and daily
• Maintain pharmacy operations, including Pyxis system management and drug database accuracy

Collaboration & Communication

• Collaborate with physicians and nursing staff to optimize medication therapy and formulary use
• Communicate drug-related information clearly to patients, families, and interdisciplinary team members
• Partner with providers to identify cost-effective medication alternatives when appropriate
• Actively participate in team conferences and interdisciplinary care planning

Patient & Staff Education

• Provide medication education to patients and families and document all interactions
• Deliver in‑services and ongoing education to nursing and clinical staff
• Support orientation, training, and competency validation of pharmacy and nursing personnel

Regulatory Compliance & Quality Improvement

• Ensure compliance with DNV, CMS, state, and federal pharmacy regulations
• Maintain a clean, organized, and inspection‑ready pharmacy environment
• Participate in Performance Improvement (PI) initiatives to enhance service quality and efficiency
• Attend and contribute to monthly department and staff meetings

Process & Systems Management

• Follow established protocols, including:
  • Automatic therapeutic substitutions
  • IV to PO/PT conversions
• Manage Pyxis system functions, including:
  • Adding medications
  • Ensuring accurate medication descriptions
  • Adding and maintaining nursing user access
• Reconcile reports including discrepancies and overrides

Professional Responsibilities

• Provide on‑call pharmacy coverage as needed
• Communicate effectively with vendors and external partners
• Address and resolve concerns from patients, families, and staff professionally
• Support departmental goals and perform additional duties as assigned

POSITION QUALIFICATIONS

Education

• Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy from an accredited College of Pharmacy
• Advanced degree or completion of an accredited hospital pharmacy residency preferred

Experience

• Experience in a hospital or pediatric setting preferred
• Strong knowledge of DNV, CMS, and state regulatory requirements

Licensure & Certification

• Current, active license as a Registered Pharmacist in the state of Texas
• IV Certification Preferred